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REV93888
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REV93888
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Entry Properties
Last modified
8/25/2016 3:19:33 AM
Creation date
11/21/2007 11:36:08 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
Revision
Doc Name
APPLICATION FORM FOR A REVISION TO A COAL MINING AND RECLAMATION PERMIT
Type & Sequence
TR10
Media Type
D
Archive
No
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DEPARTMENT OF NATURAL RESOURCES <br />David H. Getches, Executive Director <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SNELTON, Director <br />Richard D. Lamm <br />Governor AppLICATION FORM FOR A RE4ISION <br />TO A COAL MINING AND RECLAMATION PERMIT <br />This form must be completed and submitted with all requests for minor revisions, as <br />defined in Rule 1.04(73), technical revisions as defined in Rule 1.04(36) and permit <br />revisions, as defined in Rule 1.04(90). All revisions are to address the requirements <br />of Rule 2.08.4. <br />,~~j~ <br />~' <br />All revisions are tq be formatted so they can be inserted into the permit to replace the <br />revised sections, maps, tables and/or figures. Explain in the revision what section is <br />being revised. The revision date should be printed in the lower right corner of the <br />revision pages. If necessary, the Table of Contents should also be revised. <br />Date: _ / _/ _ _ <br />Perini ttee : f~l~ ~ Ly L L'/ ~ 1- `~ ~ L - Gorr !~~"' y <br />Street: 1 ~ Q ~~ - ~/ ~~-Se~.,~ ~/~-c.~, <br />P. o.-~,~- /55-~------ <br />City: L/~ /(-wvo/~ <br />State: G O Zip Code: ~ p ~L ~ - ~~ ~~ <br />Perini t No.: C - ~ / - -pl ~ <br />This box to be filled in by the Division: <br />Type of Revision: TrQ (PR, TR, or MR) <br />Revision Number 1 d (Sequential by Revision Type) <br />Revision Submittal Date 9 //Y/~G(Date Received by Division) <br />Revision Completeness Date ~/~,/~ Revision Incompleteness Date -/ / <br />Revision Adequacy Due Date _/_/_ Revision Adequacy Date _/_/_ <br />Revision Decision Due Date ~/ G9 /EL Fee 50.00 <br />Brief Description of Revision: ~j'~ w~~c - T~~iP-rrmiE-~- <br />-~f~-C/L L'T_Y---------- <br />Public Notice Attached - Yes _ No ~ (RequTired for PR's and TR's) <br />Bond Increase: Yes No <br />Proposed Change in: <br />Disturbed Area (+/-) _ _ _ Acres <br />- Affected Area (+/-) _ _ _ _ Acres <br />Permit Area (+/-) _ _ _ <br />_ Acres Federal Land (+/-) _ _ _ Acres <br />State Land (+/-) Acres Private Land (+/-) Acres <br />Lead Reclamation Specialist 6185E <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel, (303) 866-3567 <br />III IIIIIIIIIIIIIIII <br />999 <br />
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